HomeMy Public PortalAbout9916 LA ROSA DR_Plumbing__ 76A66 17 9.49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
^ FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMITNO.
PLUMBER /I ' ✓1 / A�C�M R CIVED BY READYFOR DATE ISSU ED
o �/A � FIRST INSPECTION
ADDRESS V� 'Q (1 /I/I�IL� - [2.'it-l" a/-,?D
BUILDING
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CITY ✓ �COUNTY �//�`�/f TEL. NO.
LICENSE NO. o < O .11 t EXPIRESi�'"T'�P ` LOCALITY ✓ ��/
CROSS ST. LT-
PERMIT FEES �
a"+ i �� n e �✓
NUMBER L_�' TYPE OF FIXTURE OR ITEM FEE
OWNER
�I MAIL
WATER CLOSET (TOILET) @ 0.501 S ADDRESS ♦.�
_�_k1/BATH TUB @ 0.501_1 CITY f� ( .� TEL. NO.
SHOWER @ 0.501 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
I LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1
STATE LAWS REGULATING PLUMBING.KITCHEN SINK @ 0.501 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNORYTUS ORTRAY 0 0.501 ANGELES COUNTY .LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.(
GAS SYSTEM-OUTLETS @ 0.501
SIGNATURE OF �' / 1 • r
'WATER HEATER @ 0.501 PERMITTEE
1 SLOP SINK @ 0.'D! IINSPECTION RECORD
FLOORSINK 0.501 / iy
FLOOR DRAIN @ 0.501
1 DISHWASHER @ O.SOI
IDRINKING FOUNTAIN
URINAL
�- HOUSE SEW ER @ 0.501 1
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MISCELLANEOUS � rx
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1 I 1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
�— GAS VENT
CESSPOOL @ 1.001_1_ CCSSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE 15 SoFINAL
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City of Temple City
96A669 - CE819 5/90 '
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9916 E. Larosa
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �._lCilyZ tee.[-y
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST. ��
NUMBER FIXTURE OR ITEM EACH FEE
OWNER E / O iTll
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS Same
SHOWER 1.50 CITY TEL. NO. 7
LAVATORY 1.50 CONTRACTORGENERAI INSTALLATION CO.
slNx 1.50 ADDRESS 5 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL' NO. PL 3-2541
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR LSU DISTRICT NVQ/ GROLP ZOftE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.0000
WATER HEATER � o INDUSTRIAL
WASTE APPROVAL LLL.�sss+9WW'✓C�KCC O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER .30
5 PER SYSTEM Ready for Inspection Now O
WATER SOFTENER F
WU
a
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Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .$ a
00
TOTAL FEE 4 75
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO.NOTIFIED
LICENSEO AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RE81 NTIAL PROPERTY. FINAL /
SIGNATURE JACK R. ALLEN, su PER VIswG HANIC4L EN G'R.
OF PERMITTEE
PERMIT VALIDATION cK. M o, CASH
PLAN CHECK VALIDATION CK. M.O. CASH
IN
DEC 3 5 D 4.77 5
7eAeAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN �.. ' DISTRICT NO. GROUP ZONE PERMIT NO.
_ ) '
PLUMBER �Y ^ RECEIVED 6 READY FOR DATEISSUED
FIRST INSPECTION /` l
ADDRESSBUILD "G
/+
CITY ) i / i �Y TEL. NO.AT T,fn S 7 ADDRESS /( p �foVk J 4'? `
Oy ,
CNTV NO. LOCALITY
LfOENSE / EXPIRES AAff
NEAREST
CROSS ST. ,.Tt'.1 W/
PERMIT FEES
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
��I.. /
�.1 WATER CLOSET (TOILET) 0.50 3 ADDRESS d7��C O/fPlL 4 /I
BATH TUB Q 0.60CITY k Ci,���4 i e�Y TEL. NO. '7
SHOWER @ 0.501 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHENSINK @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
@ O. I ij
SIGNATURE OF
WATER HEATER @ 0.50SO� PERM ITTE r
SLOP SINK n o.so INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
DISHWASHER
1 DRI N KING FOUNTAIN @ 0.501 c-��/s/4�JGO �4jr—
URINAL @ 0.501_ J
HOUSESEWER —RDSO Q
Z
MISCELLANEOUS
D
I O
I Imo_
I�
i { APPROVALS
111 DATE INSPECTOR'S NAME
I_ ROUGH PLUMBING
I_ GAS PIPING
GAS VENT
CESSPOOL (u) 1,001 CESSPOOL
SEPTIC TANIL: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
q UTILITY CO. NOTIFIED
TOTAL FEF: 3 - 1ld
!/ FINAL